Cesar a Manrique

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

4964056 Issued in ZZ

Practice address

482 W San Ysidro Blvd # 1985
San Ysidro, CA 92173-2444

Phone

(011) 526-6468

NPI assigned

Jun 9, 2008

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1212969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212969600000",
    "number": "1679732184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "482 W SAN YSIDRO BLVD # 1985",
            "city": "SAN YSIDRO",
            "state": "CA",
            "postal_code": "921732444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "482 W SAN YSIDRO BLVD # 1985",
            "city": "SAN YSIDRO",
            "state": "CA",
            "postal_code": "921732444",
            "telephone_number": "011-526-6468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANRIQUE",
        "first_name": "CESAR A",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-09",
        "last_updated": "2008-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "ZZ",
            "license": "4964056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Stephanie Lough
• Elizabeth Lugo
• Diana Luquin
• Daniel J Lyons, PHARM.D
• Ana Lilia Maldonado
• Lisette V. Manriquez, NP
• Alline Goreti Marizcal Cota
• Mark Olcott, M.D., Inc.
• Nancy E Martinez, NMW
• Alaa Masjune, MD

• Orthodontics and Dentofacial Orthopedics Dentistry in San Ysidro, CA
• Providers in San Ysidro, CA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.